Left lower extremity Doppler: Negative for DVT
XRAY: Mild lateral patellar tilt. No acute osseous findings.
MRI without contrast: Complete ACL, PCL tears. Complete disruption of the lateral collateral ligament and popliteus tendon near the femoral attachements. Disruption of the biceps femoris attachment to the fibular head. Intermediate MCL sprain. Diffuse soft tissue edema. Large joint effusion with synovitis. Large contusion of the medial femoral condyle and asymmetric and shallow trochlear facets. Case Photo #1 Case Photo #2[Photo 3]
EMG: No activity of the common peroneal nerve.
Orthopedics was consulted in light of instability secondary to multi-ligament injury.
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.